Individual provider Active NPI

Anna Randels, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1073818290
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3703 Issued in OK
Practice address
704 Quail Ridge Rd
Edmond, OK 73034-4919
Phone
(405) 410-2246
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3703 OK Primary

Addresses

Primary practice location

704 Quail Ridge Rd
Edmond, OK 73034-4919

Mailing address

704 Quail Ridge Rd
Edmond, OK 73034-4919
Phone (405) 410-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1073818290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 QUAIL RIDGE RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344919",
            "telephone_number": "405-410-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 QUAIL RIDGE RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344919",
            "telephone_number": "405-410-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDELS",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.